University of Utah Employee/Faculty/Staff Access Form

First Name *

Last Name *

Unid *

Email

Phone *

Business Unit (Department/College/Program) *

Business Address *

Business Address

City

State/Province

Zip/Postal

Job Title *

Job Role (As it pertains to Fundraising) *

Job Status *

Is this a new position or role? *

Yes

No

Name of person or role being replaced:

Employee Access to Development Email Lists

Area Directors (Area Directors News and Announcements)

Internal Development (Central Development Office internal use)

Corporate and Foundation Relations (Proposals and News)

CRM Users (Default group for all users, used for News, Training's and System Updates)

Development Director Name: *

Development Director Email: *

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